Lameness poses a considerable problem in modern dairy farming. Several new developments (e.g., herd health plans) strive to help farmers improve the health and welfare of their herd. It was thus our aim to identify lameness risk factors common across regions, breeds, and farming systems for freestall-housed dairy cows. We analyzed data from 103 nonorganic and organic dairy farms in Germany and Austria that kept 24 to 145 Holstein Friesian or Fleckvieh cows in the milking herd (mean = 48). Data on housing, management, behavior, and lameness scores for a total of 3,514 cows were collected through direct observations and an interview. Mean lameness prevalence was 34% (range = 0-81%). Data were analyzed applying logistic regression with generalized estimating equations in a split-sample design. The final model contained 1 animal-based parameter and 3 risk factors related to lying as well as 1 nutritional animal-based parameter, while correcting for the significant confounders parity and data subset. Risk for lameness increased with decreasing lying comfort, that is, more frequent abnormal lying behavior, mats or mattresses used as a stall base compared with deep-bedded stall bases, the presence of head lunge impediments, or neck rail-curb diagonals that were too short. Cows in the lowest body condition quartile (1.25-2.50 for Holstein Friesian and 2.50-3.50 for Fleckvieh) had the highest risk of being lame. In cross-validation the model correctly classified 71 and 70% of observations in the model-building and validation samples, respectively. Only 2 out of 15 significant odds ratios (including contrasts) changed direction. They pertained to the 2 variables with the highest P-values in the model. In conclusion, lying comfort and nutrition are key risk areas for lameness in freestall-housed dairy cows. Abnormal lying behavior in particular proved to be a good predictor of lameness risk and should thus be included in on-farm protocols. The study is part of the European Commission's Welfare Quality project.
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http://dx.doi.org/10.3168/jds.2009-2288 | DOI Listing |
J Eval Clin Pract
February 2025
Initiative for Slow Medicine, Berkeley, California, USA.
Appropriate patient reassurance is an essential feature of clinical practice. My recent experience as a patient, interpreted via my expertise as a health services researcher, led me to insights on ideal and suboptimal reassurance styles in the context of worrisome symptoms. Reassurance is complex: often poorly defined in the scientific literature, rarely rigorously studied, imperfectly understood, and requiring some adaptation to each patient situation.
View Article and Find Full Text PDFMed Sci Monit
December 2024
Department of Neurology, HangZhou Third People's Hospital, Hangzhou, Zhejiang, China.
BACKGROUND This study aimed to analyze the risk factors of central nervous system (CNS) infection caused by reactivation of varicella zoster virus (VZV) and provide reference for the prevention and early diagnosis of VZV-associated CNS infection. MATERIAL AND METHODS A prospective study was conducted on 1030 patients with acute herpes zoster (HZ) admitted to our hospital from January 2021 to June 2023. According to clinical manifestations and auxiliary examinations, they were divided into HZ group of 990 patients and VZV-associated CNS infection group of 40 patients.
View Article and Find Full Text PDFSci Rep
December 2024
Department of Optometry, College of Applied Medical Sciences, King Saud University, Riyadh, 11451, Saudi Arabia.
Globally, the prevalence of coronary artery disease (CAD) is increasing, accounting for a third of all deaths worldwide including myocardial infarctions (MIs) which represent the most severe clinical manifestation of CAD and are among the most dangerous coronary events. Therefore, this study aims to assess the knowledge of symptoms and risk factors of MIs, as well as attitudes and beliefs regarding MIs and confidence in recognizing CAD symptoms in Riyadh, Saudi Arabia. A cross-sectional study was conducted among individuals living in Riyadh, Saudi Arabia between November 2023 and April 2024 to assess their knowledge and beliefs about CAD and MIs.
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December 2024
Postgraduate Program in Health and Nutrition, School of Nutrition, Federal University of Ouro Preto, Ouro Preto, 35400-000, Brazil.
Atherosclerotic vascular changes can begin during childhood, providing risk for cardiovascular disease (CVD) in adulthood. Identifiable risk factors such as dyslipidemia accelerate this process for some children. The apolipoprotein B (APOB) gene could help explain the inter-individual variability in lipid levels among young individuals and identify groups that require greater attention to prevent CVD.
View Article and Find Full Text PDFReprod Sci
December 2024
Department of Gynecology and Obstetrics, Division of Reproductive Sciences & Women's Health Re-search, Johns Hopkins Medicine, Baltimore, MD, 21205, USA.
Pomegranate (Punica granatum) is a widely cultivated fruit historically recognized for its health benefits and is regarded as a nutritional powerhouse. Pomegranate has a unique composition of bioactive compounds including hydrolysable tannins, anthocyanins, and other polyphenolic components. Of those, punicalagin and its subsequent metabolites are the most extensively studied, demonstrating antioxidant, anti-inflammatory, anti-cancer, and anti-nociceptive activity.
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